Address:
City:
State: Zipcode: Select one of the following: New Membership Renewal
Type of membership desired: Student $5 Senior Citizen $5 Individual $10 Family $20 Patron $30 Sustaining $50 Organizational $50 Benefactor $100 Life Membership $500
I heard about the WNHA through (select as many as are applicable): newspaper website visit to Discovery Center friend other Would you be available to volunteer in any way? We are in particular need of volunteers to run the gift shop at the Discovery Center. Please share any comments with us: Please print this form, enclose check made out to WNHA, and mail to: John Lixey 24 Cedar Lake Rd. Chelsea, MI 48118 THANK YOU!